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> <br /> ' s�s-�so-ozoo City of Zephyrhills Permit Application Fax 813-780-0021 <br /> , � Building Department <br /> Date Received ���/� Phone Contact for (863)619-7103 x224 <br /> Permitting <br /> Owner's Name Highland Homes Owner Phone Number (863)619-7103 <br /> Owner's Address 3020 S.Florida Ave,Ste 101 Lakeland, FL 33803 Owner Phone Number 863 619-7103 <br /> IFee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 6 <br /> JOB ADDRESS 36134 Shad Bluff Lp LOT# <br /> SUBDIVISION Silverado PARCEL ID# �'1✓ ". "l,Vl'sd,�"w�W�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) i�!`�1 i{l <br /> ��ilJ,?� <br /> WORK PROPOSED X� NEW CONSTR � ADD/ALT SIGN DEMOLISH <br /> PROPOSED USE X� SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION X�BLOCK X� FRAME � STEEL � <br /> DESCRIPTION OF WORK I � � l �( n' 1 <br /> 58x35 2,003 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> X BUILDING $90 ,135 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $4,015 AMP SERVICE 200 ❑ PROGRESS ENERGY W.R.E.C. <br /> X❑PLUMBING $3,600 ���j�3� I <br /> E� <br /> X❑MECHANICAL $4,050 VALUATION OF MECHANICAL INSTALLATION <br /> �GAS X� ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO <br /> BUILDER COMPANY Highland Homes <br /> SIGNATURE .� ,.� <br /> REGISTERED f" Y/ N FEE CURRENT Y/)N <br /> i <br /> Address 3020 S. Florida Ave.,Ste 101, Lakeland, FI 33803 License# CGC058580 <br /> ELECTRICIAN COMPANY Fore Electric <br /> SIGNATURE � _\ <br /> REGISTERED Y/ N FEE CURRENT Y��N <br /> Address 2128 E. Edgewood Dr., Ste 301,Lakeland, FI 33803 License# EC0002618 <br /> PLUMBER COMPANY Hodge Plumbing , <br /> SIGNATURE <br /> REGISTERED Y N FEE CURRENT Y/,N <br /> Address 3216 North Galloway Rd.Lakeland, FI 33810 License# CFC044188 <br /> MECHANICAL COMPANY Schmitt, Inc. ,� <br /> SIGNATURE 1 <br /> -- REGISTERED Y/JV FEE CURRENT Y/N <br /> Address 17935 US Hwy 19 Hudson, FI 34669 License# CAC1815629 <br /> OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence <br /> installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite, Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> � Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencementis required. (AIC upgrades over$7500) <br /> "'"` Agent(for the contractor)or Power of Attorney(for the owener)would be someone with notarize letter from owner authorizing same <br /> OVER THE COUMTER PERMII'TIiVG (Front of the Application Only) <br /> Reroofs if shingles Sewers Service Upgrade A/C Fences(PoUSurvey/Footage) <br />